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Guidelines for Patient-Centered Documentation in the Era of Open Notes: Qualitative Study
JMIR Med Educ 2025;11:e59301
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Patient Portals Fail to Collect Structured Information About Who Else is Involved in a Person’s Care
J Med Internet Res 2024;26:e49394
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As one respondent noted:
[M]any patients stumble over “patient complains of” or “affect” or other common psych mental health terms.
One respondent suggested that it would be helpful for clinicians to be provided with:
[a] list of words that appear to be judgmental or offensive that are frequently used (eg, patient lied, patient was aggressive, patient denied, patient is non-compliant, patient was upset).
Participants also emphasized the need for training in writing notes with empathy and warmth.
JMIR Ment Health 2021;8(4):e27397
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